Individual provider Active NPI

Eric Rodriguez

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1396132437
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
PENDING Issued in AZ
Practice address
5114 Medical Dr Apt 2348
San Antonio, TX 78229-3878
Phone
(831) 359-6405
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X PENDING AZ Primary

Addresses

Primary practice location

5114 Medical Dr Apt 2348
San Antonio, TX 78229-3878

Mailing address

207 Rilla Vista Dr
San Antonio, TX 78216-7633
Phone (831) 359-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211019001248 AZ Practitioner - Diagnostic Radiology 5395035547 Reassigns benefits to 4 organizations
I20220615002590 TX Practitioner - Diagnostic Radiology 5395035547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (832) 915-2534

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (832) 915-2534

207 Rilla Vista Dr
San Antonio, TX 78216-7633
Phone (855) 504-4544

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (832) 915-2534

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (832) 915-2534

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PENDINGAZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Apr 25, 2022 Accepting new patients
Banner Imaging Services LLC CurrentSince Dec 23, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Sep 30, 2021 Accepting new patients
Banner Imaging Services LLC CurrentSince Sep 30, 2021 Accepting new patients
Toca at Banner Health LLC CurrentSince Mar 1, 2022 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Jan 24, 2025 Accepting new patients
Toca at Banner Health LLC CurrentSince Mar 1, 2022 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

7695 S Research Dr
Tempe, AZ 85284
Phone (480) 256-1664

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1396132437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 RILLA VISTA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167633",
            "telephone_number": "831-359-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 MEDICAL DR APT 2348",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293878",
            "telephone_number": "831-359-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.